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Fig 1.

Flow diagram of the literature search and selection processes.

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Table 1.

Basic information of the included studies.

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Fig 2.

Forest plot comparing the pooled risks of improper breastfeeding posture and repeated milk stasis.

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Fig 3.

Forest plot comparing the pooled risks of improper milking method, little or no nipple cleaning before breastfeeding, each breastfeeding duration>0.5 h and nipple sucking.

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Fig 4.

Forest plot comparing the pooled risks of cesarean section, breast massage experience of non-medical staff, history of diabetes and history of mastitis.

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Fig 5.

Forest plot comparing the pooled risks of abnormal nipple or crater nipple, primipara, breast trauma and low education level.

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Fig 6.

Forest plot comparing the pooled risk of postpartum rest time less than 3 months.

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Fig 7.

Forest plot comparing the pooled risks of the first six months postpartum, postpartum prone sleeping position and postpartum mood disorders.

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Fig 8.

Sensitivity analysis for each breastfeeding duration>0.5 h.

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Fig 9.

Sensitivity analysis for nipple sucking.

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Fig 10.

Sensitivity analysis for postpartum mood disorders.

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Table 2.

The results of the PAR and the Nfs for risk factors associated with LM.

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Fig 11.

Egger’s publication bias plot for little or no nipple cleaning.

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Fig 12.

Egger’s publication bias plot for postpartum mood disorders.

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